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Most people seeking couples counseling in Bethesda, MD are not “sick” in the medical sense, but they may be experiencing mental and emotional pain, they may be frustrated and discouraged about not reaching their life goals or they may not be functioning optimally. Dr. Durana has found that often, people persevere in using old strategies even when those are not effective, or avoiding and evading the problem; often, they may not have someone to listen in a caring way so that they can take the time to take themselves away from the problem and ponder on solutions. After feeling demoralized in their unsuccessful problem solving efforts or powerless about changing things, individuals then resort to therapy. In this perspective, the mere act of going to therapy expresses an “I can do it” attitude, and is then seen as an “act of hope.”

Good therapy this type of thinking. It gives the clients hope – it informs them that something can be done to make their case better. The techniques and methods of Dr. Durana’s counseling improve pathways for experiencing and thinking about problems. The 3rd factor that evaluates the success of a therapy, therefore, is the client’s view of the problem and his/her plans of addressing it. A belief in the restorative power of the therapy helps generate progress. The client will have the capacity and the power to promote recovery and change only when his strengths, resources and capabilities are improved and when the functional areas in his life are attended to.

Change is seen as a gradual process wherein a person tries out new things a lot of times. In everyday life, people change through normal processes of analyzing a problem, discovering and experimenting with solutions and receiving feedback from the environment; out of this come novel perspectives and experiences which then result to new solutions and discoveries. These are natural self-righting mechanisms, that when promoted, will create hopefulness in the pursuit of goals.

For several people, couples counseling in Bethesda, MD is truly essential. Therapy research findings suggest that beneficial effects can be achieved in 5-10 sessions with at least fifty percent of clients. 20-30% of the clients, however, need about 25 sessions. Clients who are very antagonistic, poorly motivated, have a history of poor relationships or expect to be inactive recipients of a medical procedures are more likely not to benefit.

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